J Trauma
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Little is known about the influence of regionalization of trauma care on pediatric trauma care delivery. The purpose of this study was to estimate whether formal adoption of a statewide trauma system was associated with hospital admission patterns of injured children. ⋯ Trauma designation in Washington was associated with a shift in admissions from nondesignated hospitals to pediatric trauma hospitals.
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This study sought to define the role of transiliac sacral rods used in combination with an external fixator for the management of unstable pelvic fractures. ⋯ For type C pelvic fractures without significant iliac bone involvement, surgical management with posterior transiliac fixation using sacral rods and anterior external fixation yields good radiologic results. The functional results correlated primarily with avoidance of complications and not necessarily with the radiologic results.
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Reports have demonstrated the benefit of prophylactic inferior vena cava filter (IVCF) placement to prevent pulmonary embolism. This series evaluates the potential for the bedside placement of a removable IVCF under "real-time" intravascular ultrasound (IVUS) guidance. ⋯ Bedside insertion of a removable IVCF with IVUS guidance and its removal are simple, safe, and accurate.